SHIRLEY A PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095112

License Status

NOT RENEWED

Business

First Name

SHIRLEY A

Last Name

PETERSON

Business Name

SHIRLEY A PETERSON

Original Issue Date

11/16/1990

Effective Date

11/16/1990

Expiration Date

03/31/1994

City

COAL VALLEY

State

Zip

61240

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005